The tripartite model of anxiety and depression: symptom structure in depressive and hypertensive patient groups

The structure of self-reported symptoms representative of the tripartite model was examined using data drawn from the Medical Outcomes Study (Tarlov et al., 1989). Participants were persons who had been diagnosed 48 months previously as suffering from either depression (N = 315) or hypertension (N = 403). Results of confirmatory factor analyses were broadly consistent with the tripartite model (L. A. Clark & Watson, 1991). Factors emerged corresponding to each of the 3 posited first-order dimensions of negative affect, positive affect, and physiologic arousal. Nonetheless, some discrepancies were found between the observed data and the hypothesized tripartite model. First, the obtained physiologic arousal factor was best viewed as reflecting nonspecific somatic distress rather than physiologic arousal. Finally, although differentiable in the strictest statistical sense, all three domains were significantly correlated (.36 to.86, absolute value). In particular, contrary to the tripartite model, positive and negative affect covaried markedly (-.81 to -.86). Findings raise issues concerning the utility of the tripartite model as a heuristic framework for enhancing understanding of individual differences in normal mood as well as mood disorders.     

Negative moods and the motivated remembering of past selves: the role of implicit theories of personal stability

This research program explored how the positivity of people's memories of their past personal attributes is influenced by their desire to cope with negative mood states. The studies tested the hypothesis that beliefs and motives regarding the stability of personality will determine whether people idealize or derogate their earlier attributes in an attempt to repair distressing feelings. When knowledge structures or motives implying personal change are activated, people should derogate their past selves in response to negative moods; in contrast, when these factors imply personal stability, people should idealize their past selves in response to negative moods. Studies 1-3, which assessed the impact of mood negativity (neutral vs. negative) and theories (or motives) regarding personal change (change vs. stability) on the positivity of people's memories of their past attributes, supported this reasoning. Study 4 extended these findings by examining how an underlying mediating variable--mood-repair motivation--guides the effect of negative moods on recall of past selves. Implications of the results for research on temporal comparison, mood-congruent recall, and posttraumatic growth are discussed.     

How sweet it is to be loved by you: the role of perceived regard in the terror management of close relationships

Drawing from terror management theory, the present research examined whether people turn to close relationships to manage the awareness of mortality because they serve as a source of perceived regard. Studies 1 and 2 demonstrated that mortality salience (MS) leads people to exaggerate how positively their romantic partners see them and demonstrated that people are more committed to their partners to the extent that their romantic partners serve as a source of perceived regard after MS (Study 3). Study 4 revealed that activating thoughts of perceived regard from a partner in response to MS reduced death-thought accessibility. Studies 5 and 6 demonstrated that MS led high relationship contingent self-esteem individuals to exaggerate perceived regard from a partner, and this heightened regard led to greater commitment to one's partner. Study 7 examined attachment style differences and found that after MS, anxious individuals exaggerated how positively their parents see them, whereas secure individuals exaggerated how positively their romantic partners see them. Together, the present results suggest that perceptions of regard play an important role in why people pursue close relationships in the face of existential concerns.     

Student ethics in an era of personal entitlement

397 students arriving to take an exam in a junior level Principles of Management course were clearly warned on several occasions to keep cell phones outside the testing area or receive a failing test grade if the policy was violated. Just before the examination was administered, with all students sitting in their assigned seats, the professor made a final announcement that anyone still in possession of a cell phone would have one last opportunity to come forward and place it in a box at the front of the testing room. After eight students accepted this final "opportunity," the professor produced a hand-held metal detector, demonstrated how it could detect cell phones placed inside clothing, and informed the class that random screening of students would be conducted as they handed in their examinations. He then added that, as a special favor, he would allow a two-minute amnesty period during which any student could bring a cell phone to the front of the room for storage during the test. 38 students responded by turning in cell phones they had retained in direct violation of course policy. Implications of this cell phone dishonesty for creating viable business ethics and the role of perceived entitlement in shaping the behavior of these future business leaders were discussed.     

Social Cognition in Paediatric Traumatic Brain Injury: A Systematic Review and Meta-analysis

Neuropsychology Review - Recent evidence suggests social cognitive deficits may be among the most profound and disabling consequences of childhood traumatic brain injury (TBI); however, it is only...     

Interpretation and Expectation in Childhood Anxiety Disorders: Age Effects and Social Specificity

Theory and treatment for childhood anxiety disorders typically implicates children’s negative cognitions, yet little is known about the characteristics of thinking styles of clinically anxious children. In particular, it is unclear whether differences in thinking styles between children with anxiety disorders and non-anxious children vary as a function of child age, whether particular cognitive distortions are associated with childhood anxiety disorders at different child ages, and whether cognitive content is disorder-specific. The current study addressed these questions among 120 7–12 year old children (53% female) who met diagnostic criteria for social anxiety disorder, other anxiety disorder, or who were not currently anxious. Contrary to expectations, threat interpretation was not inflated amongst anxious compared to non-anxious children at any age, although older (10–12 year old) anxious children did differ from non-anxious children on measures of perceived coping. The notion of cognitive-content specificity was not supported across the age-range. The findings challenge current treatment models of childhood anxiety, and suggest that a focus on changing anxious children’s cognitions is not warranted in mid-childhood, and in late childhood cognitive approaches may be better focussed on promoting children’s perceptions of control rather than challenging threat interpretations.     

CBT intensity and outcome for panic disorder in a primary care setting

A hybrid efficacy-effectiveness design in which participants (n = 91/93) were retained in the study regardless of whether or not they received treatment enabled evaluation of CBT intensity in relation to panic disorder in the primary care setting. CBT intensity was operationalized as number of cognitive-behavioral therapy sessions, number of follow-up booster phone calls, and secondarily, as number of cognitive behavioral coping and exposure strategies. Baseline psychosocial and demographic predictors of CBT intensity were analyzed first. Severity of anxiety sensitivity predicted number of cognitive behavioral sessions, but no baseline variables predicted number of follow-up booster phone calls or number of coping and exposure strategies. Multivariate logistic and linear regressions were used to evaluate the degree to which treatment intensity predicted 3-month and 12-month outcomes (anxiety sensitivity, phobic avoidance, depressive symptoms, disability, and medical and mental health functioning) after controlling for potential confounding baseline variables. Number of cognitive behavioral therapy sessions predicted lower anxiety sensitivity at 3 and 12 months, and number of follow-up booster phone calls predicted lower anxiety sensitivity, less phobic avoidance, and less depression at 12 months. These findings indicate that "dose" of psychotherapy was an important predictor of outcome. The significance of follow-up booster phone contact is discussed as an index of continued self-management of panic and anxiety following acute treatment.